Iatrogenic Flow Limiting Arterial Dissection

Iatrogenic arterial dissection is an uncommon complication that usually occurs during guide wire passage through stenoses or occlusions. It is reported to occur in 0.42% of patients during arterial access of cardiac catheterization. In some cases, this may be a catastrophic complication requiring thrombolysis and/or surgical bypass.

REFERENCE

• 1 Tsetis D K, Kochiadakis G E, Hatzidakis A A et al.. Transcatheter thrombolysis with high-dose bolus tissue plasminogen activator in iatrogenic arterial occlusion after femoral arterial catheterization.  Cardiovasc Intervent Radiol. 2002;  25 36-41